Browsing by Author "Joseph, Juma"

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    PublicationOpen Access
    Evaluation of the awareness and utilization of oral rehydration salt and zincin managing diarrhoea among under-five children in Oyo State, Nigeria
    (International Journal of Community Medicine and Public Health, 2022-05-19) Kariuki, John; Mogere, Dominic; Odongo, Alfred Owino; Joseph, Juma; Fagbamigbe, Adeniyi Francis Fagbamigbe
    Nigeria ranks as one of the countries with the highest negativeconsequences of diarrhoea in sub-Saharan Africa. The aim of the study was to evaluate the awareness and utilization of ORS and zinc in managing diarrhoea among under-five children(U5C) in Oyo state, Nigeria. Methods: Data was obtained from a cross-sectional survey (n=1154) as well as focus group discussionsamong mothers/caregivers of U5C and key informant interviews in Oyo state. Descriptive, bivariate and multivariate logistic regression analyses were performed. Results: Nine of every ten caregivers were aware of the use of ORS/zinc for managing diarrhoea cases. Prevalence of ever-use of ORS/zinc formanaging diarrhoea cases was 5.4% while the prevalence of having diarrhoea recently was 6.2%(71/1154). Of the 71 mothers whose U5C recently had diarrhoea, 41(57.7%) used ORS/zinc to manage a recent episode of diarrhoea. Adjusted odds of using ORS/zinc tomanage diarrhoea was 2.64 (aOR=2.64; 95%CI: 1.18-10.27 times higher among children who are the first births than those with fourth or higher birth order. The adjusted odds of using ORS/zinc to manage diarrhoea was 9 times (aOR= 9.15; 95%CI: 1.99-34.47) higher among mothers aged 20 to 24 years than those aged 30 to 39 years. Conclusions: Despite the high level of awareness of use of ORS and zinc in managing diarrhoea, ever-utilization is low but recent use by three-fifths of caregivers is fair. There is a need for Oyo state ministry of health and other stakeholders to promote the use of ORS and zinc in managing diarrhoea
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    PublicationOpen Access
    Level of Awareness towards Covid-19 Recurrence among Adults COVID-19 Patients in Machakos Country in Kenya
    (Asian Journal of Medicine and Health, 2023-11-29) Ali, Hamida Mahamed; Joseph, Juma; Dennis, Magu
    Introduction:Cases of Covid-19 recurrence have become prevalent. This study seeks to establish the level of awareness towards Covid-19 recurrence among adults in Machakos County in Kenya. The study was guided by the health belief model and socio-ecological model. Methods:The study design was a cross-sectional study. The study adopted a quantitative approach. The target population in this study was 7, 428 Covid-19 patients in Machakos County. The sample size for the study was 418 respondents. Purposive sampling was used in selecting the respondents for the study. Data was collected through a questionnaire. Data Analysis:Data was analyzed through descriptive statistics comprising of frequencies and percentages. Chi-Square test was used in determining the association between the independent and dependent variables of the study. Results:From the findings, the overall Covid-19 recurrence was 11.1%. Overall knowledge, attitude and practice levels towards Covid-19 management and control were high. The study found that gender, level of education, engaging in any form of drugs/substance use and abuse and practices towards Covid-19 management and control were the significant host status determinants of Covid-19 recurrence. The study also found that staff shortages, proximity challenges and contaminated hospital environment were the significant facility determinants of Covid-19 recurrence. Further, it was evident from the study that the significant clinical determinants of Covid-19 recurrence included oxygen treatment for Covid-19, and longer duration in hospital during the first Covid-19 infection.Conclusions and Recommendation: The study recommends that the government should invest more in health facilities in terms of human resource for health personnel and equipment for treatment. The study recommends that future studies should be experimental so as to detect the actual biochemical concentrations for Covid-19 patients and recurrence rates among patients.